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FREE LIFE WELLNESS CENTER LLC
NPI 1316539687
Community/Behavioral Health in Mesa, AZ

Active since February 09, 2021
1731 W BASELINE RD STE 113, MESA, AZ 85202(480) 687-1773(480) 687-2986 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 17, 2023, Oct 3, 2023, Aug 26, 2023 and 2 more (5 updates tracked since 2021).

About Free Life Wellness Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREE LIFE WELLNESS CENTER LLC (NPI 1316539687) is a healthcare organization registered as a community/behavioral health in Mesa, Arizona and active in the NPI registry since February 2021. The organization lists Courtney Starr Gooch, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316539687
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameFREE LIFE WELLNESS CENTER LLC
Location Address1731 W BASELINE RD STE 113Mesa, AZ 85202-5782
Mailing Address1731 W Baseline Rd Ste 113Mesa, AZ 85202-5782 · (480) 687-1773 · Fax (480) 687-2986
Phone(480) 687-1773
Fax(480) 687-2986
Organization SubpartNo
Authorized OfficialCourtney Starr GoochCeo · (480) 687-1773
Enumeration DateFebruary 9, 2021
Last NPPES UpdateOctober 17, 20235 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
✔ NPI 1316539687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1731 W BASELINE RD STE 113, Mesa, AZ 85202
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Other Identifiers 1

Medicaid100618AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SABRINA FULGHUM MSW
Counselor
1731 W BASELINE RD STE 113
MESA, AZ 85202
Maricopa County (480) 687-1773
JULIA STARR UCHYTIL
Social Worker
1731 W BASELINE RD STE 113
MESA, AZ 85202
Maricopa County (480) 687-1773
ANTONIA MILLS
Nurse Practitioner (Psychiatric/Mental Health)
1731 W BASELINE RD STE 113
MESA, AZ 85202
Maricopa County (480) 687-1773
COURTNEY STARR GOOCH
Counselor (Mental Health)
1731 W BASELINE RD STE 113
MESA, AZ 85202
Maricopa County (480) 687-1773

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Free Life Wellness Center LLC's NPI number?

The NPI number for Free Life Wellness Center LLC is 1316539687. It was assigned to this organization in the NPPES registry on February 9, 2021.

Where is Free Life Wellness Center LLC located?

Free Life Wellness Center LLC is located at 1731 W Baseline Rd Ste 113, Mesa, AZ 85202. The listed phone number is (480) 687-1773.

What is Free Life Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does Free Life Wellness Center LLC accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Free Life Wellness Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Free Life Wellness Center LLC was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.